Healthcare Provider Details

I. General information

NPI: 1194871640
Provider Name (Legal Business Name): AMY LYNN ESCHETTE P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 11/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23222 KINGSLAND BLVD STE H
KATY TX
77494-3033
US

IV. Provider business mailing address

23222 KINGSLAND BLVD STE H
KATY TX
77494-3033
US

V. Phone/Fax

Practice location:
  • Phone: 281-347-5050
  • Fax: 281-347-5055
Mailing address:
  • Phone: 281-347-5050
  • Fax: 281-347-5055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number06958
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: